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新冠病毒XBB奥密克戎亚变体是否预示着大流行结束的开始?

Does the COVID-19 XBB Omicron subvariant signal the beginning of the end of the pandemic?

作者信息

Ngiam Jinghao Nicholas, Al-Mubaarak Abdurrahmaan, Maurer-Stroh Sebastian, Tambyah Paul Anantharajah

机构信息

Division of Infectious Diseases, Department of Medicine, National University Health System, Singapore.

Bioinformatics Institute and Infectious Diseases Labs, Agency for Science Technology and Research, Singapore.

出版信息

Singapore Med J. 2024 Dec 1;65(12):658-664. doi: 10.4103/singaporemedj.SMJ-2022-180. Epub 2022 Dec 1.

Abstract

All pandemic viruses have eventually adapted to human hosts so that they become more transmissible and less virulent. The XBB Omicron subvariant is rapidly becoming the dominant strain of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) in Singapore from October 2022 and is one of several variants circulating globally with the potential to dominate autumn/winter waves in different countries. The XBB Omicron subvariant has demonstrated increased transmissibility through an apparent propensity for immune evasion. This is to be expected in the natural evolution of a virus in a population highly vaccinated with a vaccine targeting the spike protein of the original Wuhan strain of the virus. This review explores the important implications of the rising prevalence of the SARS-CoV-2 Omicron subvariant for public health in Singapore and beyond.

摘要

所有大流行病毒最终都适应了人类宿主,从而变得更具传播性且毒性更低。XBB奥密克戎亚变体自2022年10月起迅速成为新加坡严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的主要毒株,是全球正在传播的几种变体之一,有可能在不同国家主导秋冬疫情高峰。XBB奥密克戎亚变体通过明显的免疫逃逸倾向表现出更强的传播性。在一个针对该病毒原始武汉毒株刺突蛋白进行了高度疫苗接种的人群中,病毒的自然进化会出现这种情况。本综述探讨了SARS-CoV-2奥密克戎亚变体流行率上升对新加坡及其他地区公共卫生的重要影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/091c/11698282/20c30db33036/SMJ-65-658-g001.jpg

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